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Anson County EMS reports higher billing revenue projections and rising call volume; staffing and equipment needs noted
Summary
EMS reported a switch to a new billing vendor in March, billing roughly $1.49M in six months and receiving about $630,000; the vendor projects $1.8M in year one and $2.2M in year two. Call volume has increased to an expected 7,000–8,000 runs this year and staffing and capital (ambulance delivery March 2026) remain challenges.
Brian Nance, representing Anson County EMS, updated the board on billing, call volume and staffing. He said the county switched billing vendors on March 1 to Tar Heel billing after the previous contractor was not performing as expected.
"So some of the numbers that I have ... in 6 months, after contractuals ... we build out $1.491497000.000 dollars and we've received 630,000 of that," Nance reported, describing collections to date and a current balance. He said the new billing company expects about $1.8 million in the first year and $2.2 million in the second year.
Nance told commissioners that call volume has risen—EMS ran about 4,800 calls earlier in the year and projects running "easily past 7 to 8,000 this year." The department has added units (including converting a prime unit to a 24‑hour unit and adding another full‑time ambulance) to respond to growth in demand.
On staffing, Nance said the department is near fully staffed for paramedics but recently lost a supervisor and that filling supervisory and paramedic roles remains a priority. He said an ambulance ordered earlier has not yet been delivered; a final inspection is scheduled for March 2026.
Commissioners discussed QRV/ALS deployment and costs. Nance estimated around $100,000 for equipment on a truck and argued paramedic staffing for quick‑response units is most beneficial when patients require advanced care.
Ending: The board thanked EMS staff for their work; Nance and staff will continue to monitor collections, staffing and unit placement as call volume rises.
